肌肉放松技术对苯二氮类药物依赖性焦虑症患者负面情绪及生活质量的影响  

Effect of muscle-relaxation intervention on negative emotion and life quality in anxiety disorder patients with Benzodiazepines dependence

作　　者：陈娟[1] 高颖[1] Chen Juan Gao Ying.(Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210029, China)

机构地区：[1]南京医科大学附属脑科医院医学心理科,南京210029

出　　处：《广西医科大学学报》2017年第2期310-314,共5页Journal of Guangxi Medical University

基　　金：南京医科大学附属南京医院科技发展基金资助项目(No.ETYY 2013015)

摘　　要：目的:分析肌肉放松技术对苯二氮类(BZD)药物依赖性焦虑症患者负面情绪及生活质量的影响。方法:选择2014年6月至2015年3月南京医科大学附属脑科医院医学心理科收治的80例BZD药物依赖性焦虑症患者,随机分为对照组和观察组,每组40例。两组均采用常规抗焦虑干预,对照组使用常规护理,观察组加用肌肉放松训练干预,采用焦虑自评量表(SAS)和抑郁(SDS)自评量表评定干预前、后患者负性情绪的变化,比较治疗前、后两组患者的睡眠质量及生活质量的变化。结果:治疗前,两组患者SAS、SDS评分、睡眠质量(AIS)、生活质量(SF-36)评分对比差异均无统计学意义(均P>0.05);治疗后,两组SAS、SDS、AIS评分均降低,SF-36表评分升高,与治疗前对比差异有统计学意义(P<0.05),且观察组治疗后SAS、SDS、AIS评分低于对照组,SF-36评分高于对照组,差异有统计学意义(P<0.05);治疗后,观察组失眠及可疑失眠所占比例均低于对照组(均P<0.05),无睡眠障碍所占比例高于对照组(P<0.05)。结论:采用肌肉放松训练干预BZD依赖性焦虑症患者,可减轻其焦虑及抑郁程度,改善负性情绪,提高患者睡眠质量及生活质量。Objective： To analyze the effect of muscle-relaxation skill on negative emotion and life quality in anxiety disorder patients with Benzodiazepines dependence （BZD）. Methods. 80 BZD-dependent patients with anxiety disorder in our hospital from June 2014 to March 2015 were selected and randomly divided into a control group and an observation group, with 40 cases in each group. The patients in the control group received antianxiety treatment and routine nursing care, while those in the observation group were treated as the control group with the addition of muscle-relaxation training intervention. The degree of negative emotion before and after intervention were evaluated by self-rating anxiety scale （SAS） and self-rating depression scale （SDS）. The sleep quality and life quality were assessed by Athens insomnia scale （AIS） and by the MOS 36-item short-form health survey （SF-36）. Results. Before treatment, there were no significant differences between the two groups in SF-36, AIS, SAS and SDS scores （ P 〉0.05）. After treatment, the AIS, SAS and SDS scores were decreased, while the SF-36 score was increased in both groups （ P 〈0.05）. The AIS, SAS and SDS scores were lower, while the SF-36 score was higher in the observation group than those in the control group （ P 〈0.05）. Moreover, the observation group had higher rates of insomnia and suspected-insomnia than those in the control group （ P 〈0. 05）. Conclusion： Muscle-relaxation training could alleviate anxiety and depression, and improve the sleep and life quality for anxiety disorder patients with BZD-dependent.

关 键 词：焦虑症 苯二氮革类 肌肉放松技术 情绪 

分 类 号：R749.72[医药卫生—神经病学与精神病学]